Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “MISSOURI”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 307 records · Page 17Linked to original sources
PubMed1994

Diabetes-related end-stage renal disease in Missouri: trends and variations by age and race.

Diabetes-related end-stage renal disease (ESRD-DM) is a major source of morbidity and medical costs. The authors studied patterns of ESRD-DM in Missouri during the period 1985-1992. The incidence of ESRD-DM increased during this period, with the largest increase in older age groups. ESRD-DM is substantially more common among blacks than among whites. Enhanced efforts are needed to improve detection and control of diabetes and its complications, especially in high-risk populations.

Adult↗
PubMed1994

Prevalence of arthritis--Arizona, Missouri, and Ohio, 1991-1992.

Although regional and national data about arthritis can be used to develop synthetically derived measures of prevalence for states (1), few state surveys exist for determining the prevalence and impact of arthritis at that level. To measure state-specific prevalences, during 1991-1992 Arizona, Missouri, and Ohio added questions about arthritis to their Behavioral Risk Factor Surveillance System (BRFSS) surveys. This report presents BRFSS-derived estimates of self-reported prevalence of clinically diagnosed arthritis in these states and characteristics of adults who reported this disorder.

Adult↗
PubMed1994

Informed consent in Missouri: where has it taken us?

Between 1987 and 1990 there has been an increase in the number of medical malpractice claims in which lack of informed consent was the sole allegation. This should alert physicians to the need for a better awareness of recent changes in the doctrine of informed consent. Some states have liberalized the scope of the disclosure made to the patient, but Missouri has resisted any further doctrinal expansion in this area. In contrast, changes in the law relating to the doctor/patient relationship are more universally applied and permanent. It is clear that any actual treatment or nontreatment decision remains solely a right of the patient (parent or surrogate). Easily applied guidelines for obtaining informed consent that incorporate these changes are suggested.

Communication↗
PubMed1993

Consumption of fruits and vegetables in Missouri.

High consumption of fruits and vegetables has been linked with a reduced risk of several important chronic diseases. The authors utilized telephone survey techniques to assess the level of fruit and vegetable consumption among adult Missouri residents. Only 28% of respondents reported consumption of five servings of fruits and vegetables per day. Older females had the highest rate of consuming five servings per day, while young males had the lowest rate. These findings, in conjunction with national data, show the need for increasing emphasis on the "5 A Day" campaign.

Adolescent↗
PubMed1993

The impact of treatment of eye disease on optometric practice in Missouri.

This study attempts to determine the impact of the legal authorization to treat eye diseases on the practice of optometry in Missouri. Seventy-two percent of the therapeutic pharmaceutical agent (TPA) certified optometrists practicing in the state responded to a questionnaire in 1991. A majority of those responding prescribed every category of TPA except oral anti-histaminic agents. More than two-thirds have received registration numbers to prescribe controlled substances. The median number of therapeutic prescriptions written per year was 144. Disturbingly, most of the practitioners have never been visited in their offices by a drug company representative. Some have hospital privileges and only about one-fourth of the respondents have nursing home privileges.

Eye Diseases↗
PubMed1993

Preventable mortality in Missouri: excess deaths from nine chronic diseases, 1979-1991.

For the period 1979-1991, 54% of the 644,045 deaths in Missouri were attributed to nine chronic diseases--cancers of the breast, uterine cervix, lung, colon/rectum; coronary heart disease; stroke; diabetes; chronic obstructive pulmonary disease; hepatic diseases/cirrhosis. Elimination of risk factors and screening have been shown to reduce the mortality caused by these diseases. To evaluate the range in excess mortality in the state, we calculated excess mortality by county and correlated these rates with three sociodemographic variables. Based on these analyses, an estimated 100,000 deaths may have been prevented through prevention and early detection activities.

Adult↗
PubMed1993

Minors' access to tobacco--Missouri, 1992, and Texas, 1993.

Approximately 75% of adults who have regularly smoked cigarettes tried their first cigarette before their 18th birthday, and about half became regular smokers by age 18 years. Despite the importance of reducing smoking among adolescents, the prevalence of smoking among high school seniors has not decreased substantially from 1981 through 1991. National health objectives for the year 2000 have targeted substantial reductions in smoking among persons aged < 20 years, and reducing access to cigarettes through laws or statutes is an important strategy in reaching this goal. This report describes the results of efforts in two states--Missouri and Texas--to characterize access of minors to cigarettes and other tobacco products.

Adolescent↗
PubMed1993

Diabetes in Missouri: prevalence and high-risk populations.

Diabetes was reported as an underlying or contributory cause of 3,706 deaths among Missouri residents in 1991, and the estimated direct and indirect costs of the disease in the state exceeded $450 million. Behavioral Risk Factor Surveillance System data indicate that, although diabetes is prevalent throughout the state's population, it is more prevalent among females, elderly persons, minority races, and persons with low educational and income levels. Individual practitioners should emphasize the reduction of health risk factors among their diabetic patients. Through regular monitoring of risks for diabetic complications and early intervention, a significant number of diabetic complications can be prevented or delayed.

Adolescent↗
PubMed1996

Prevalence and implications of perinatal substance use in Missouri.

A study was conducted to determine the prevalence of perinatal substance use in Missouri. The population sample studied was selected according to a multi-stage probability-proportional-to-size sampling. The weighted prevalence for perinatal exposure to alcohol, tobacco or illicit substances was 31.9%, 10.8% for illicit substances, 21.9% for tobacco use, and 7.9% for self-reported alcohol use. In 1993, an estimated 23,925 perinatal exposures to licit and illicit substances occurred.

Adult↗
PubMed1996

The Missouri planning grant for the education and training of health sciences librarians.

The planning grant at the School of Library and Informational Science (SLIS) at the University of Missouri has two aims: (a) developing a model curriculum for health sciences librarianship at the master's level and (b) developing materials that can be delivered by alternative instructional methods. To accomplish the first aim, the faculty will investigate the possibility of offering courses in other disciplines, such as health care administration, educational technology, adult education, and medical sociology. In addition, the SLIS faculty will investigate the development of new kinds of placement for the students' practicum experience. To reach the second aim, the SLIS faculty will investigate alternative means of delivering both graduate and continuing education. Three instructional modalities will be evaluated. Some material will be delivered via satellite broadcast, some material will be made available via the World Wide Web and some will be presented in an intensive seminar. The outcome of the planning grant will be two distinct plans. The first will be a plan for the curriculum in health sciences librarianship at the master's level. The second will be a plan for offering instruction through alternative methods, both for graduate education and for continuing education.

Computer Communication Networks↗
PubMed1997

Traumatic brain injury--Colorado, Missouri, Oklahoma, and Utah, 1990-1993.

In 1992, traumatic brain injuries (TBIs) accounted for 34% of all injury deaths in the United States. To provide current estimates of TBI-associated morbidity and deaths, CDC has developed guidelines for public health agencies to use for TBI surveillance. This report describes recent findings from Colorado, Missouri, Oklahoma, and Utah based on these guidelines. These findings indicate a decrease in the annual rate of TBI and that rates of TBI are highest in association with falls and motor-vehicle crashes.

Accidental Falls↗
PubMed1997

The relationship among cost, quality, and competition: an analysis of obstetrics services in Missouri hospitals.

An understanding of the relationship among cost, quality, and competition is vital to ongoing efforts of market-based health care reform. The objectives of this study were to introduce a distance-based operational definition of competition and to examine the relationships among competition, cost, and quality within the singular product and geographic market of obstetrics services at hospitals within the state of Missouri. Correlational results indicate that increased competition is related to both increases in quality of care and costs--the characteristics of a price-insensitive market. This has obvious implications on health policy debates focusing on enhancing market competition as an avenue for health care reform.

Catchment Area, Health↗
PubMed1998

Corneal decompensation after intraocular ophthalmic surgery--Missouri, 1998.

During January 8-14, 1998, six of eight patients undergoing elective intraocular surgery at a Veterans Affairs medical center (VAMC) in St. Louis, Missouri, developed corneal endothelial decompensation (corneal edema and opacification) < or =24 hours after surgery. All had been operated on with instruments sterilized by the Abtox Plazlyte system (Abtox, Inc., Chicago, Illinois). This report summarizes the results of the investigation of these cases and indicates that using the Abtox Plazlyte system to sterilize opthalmologic surgical equipment led to corneal decompensation.

Adult↗
PubMed2001

Predicting mortality in nursing home residents with lower respiratory tract infection: The Missouri LRI Study.

CONTEXT: Lower respiratory tract infection (LRI) is a leading cause of mortality and hospitalization in nursing home residents. Treatment decisions may be aided by a clinical prediction rule that identifies residents at low and high risk of mortality. OBJECTIVE: To identify patient characteristics predictive of 30-day mortality in nursing home residents with an LRI. DESIGN, SETTING, AND PATIENTS: Prospective cohort study of 1406 episodes of LRI in 1044 residents of 36 nursing homes in central Missouri and the St Louis, Mo, area between August 15, 1995, and September 30, 1998. MAIN OUTCOME MEASURE: Thirty-day all-cause mortality. RESULTS: Thirty-day mortality was 14.7% (n = 207). In a logistic analysis, using generalized estimating equations to adjust for clustering, we developed an 8-variable model to predict 30-day mortality, including serum urea nitrogen, white blood cell count, body mass index, pulse rate, activities of daily living status, absolute lymphocyte count of less than 800/microL (0.8 x 10(9)/L), male sex, and deterioration in mood over 90 days. In validation testing, the model exhibited reasonable discrimination (c =.76) and calibration (nonsignificant Hosmer-Lemeshow goodness-of-fit statistic, P =.54). A point score based on this model's variables fit to the entire data set closely matched observed mortality. Fifty-two percent of residents had low (score of 0-4) or relatively low (score of 5-6) predicted 30-day mortality, with 2.2% and 6.2% actual mortality, respectively. CONCLUSIONS: Our model distinguishes nursing home residents at relatively low risk for mortality due to LRI. If independently validated, our findings could help physicians identify nursing home residents in need of different therapeutic approaches for LRI.

Aged↗
PubMed1979

Concurrent validity of the Missouri Children's Picture Series.

Administered the Missouri Children's Picture Series, a nonverbal objective test of personality to a group of normal (N = 119) children and a group of institutionalized (N = 77) aggressive children. Several of the test scales differed significantly between the two groups. The test scales of Aggression and Maturity showed the most consistent and largest differences; the institutionalized children scored, as a group, higher on Aggression and lower on Maturity Level. IQ was found to be unrelated to test scores among the normal children, but was related significantly to personality test scores among the institutionalized children.

Acting Out↗
PubMed1979

Normative and validity data for the Missouri Children's Behavior Checklist.

Presented normative data, collected on an unselected sample of 302 7- and 9-year-old children, for the Missouri Children's Behavior Checklist. Boys were found to be rated as more deviant than girls, while age, occupation of head of household, and estimated IQ were found to be unrelated to checklist ratings of deviant behavior. The use of a cutting point on the Total Pathology Scale of the checklist derived from the normative data identified a group of clinic children, 89% of whom were found to be in need of professional attention. The potential usefulness of the checklist as an aid in making important clinical decisions is discussed, as is the need for more extensive normative data.

Adolescent↗
PubMed1992

Behavior patterns in nonreferred children: replication of the factor structure of the Missouri Children's Behavior Checklist.

This study provided normative data with regard to the behavior classification system based on the Missouri Children's Behavior Checklist (MCBC) with a sample of 120 nonreferred children. The factor structure of the MCBC replicated with a high degree of congruence. Application of the MCBC behavior classification system provided information on the frequency of problem patterns and problem-free patterns by nonreferred children. Variability in MCBC factor scores and behavior patterns was examined as a function of demographic parameters of gender, race, age, and socioeconomic status.

Adolescent↗